Is SAMHD1 p.Arg145Pro (c.434G>C) pathogenic?

SAMHD1 p.Arg145Pro (c.434G>C) is classified Likely pathogenic in SAMHD1 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2025-11-07). AlphaMissense: likely pathogenic (0.9961); Very rare (popmax 0.000254%, nfe); Associated with Inborn genetic diseases.

What condition is associated with SAMHD1 p.Arg145Pro (c.434G>C)?

SAMHD1 p.Arg145Pro (c.434G>C) is associated with Inborn genetic diseases (ClinVar).

How common is SAMHD1 p.Arg145Pro (c.434G>C) in the general population?

SAMHD1 p.Arg145Pro (c.434G>C) is very rare (popmax 0.000254%, nfe) (gnomAD).

What do computational predictors say about SAMHD1 p.Arg145Pro (c.434G>C)?

AlphaMissense predicts likely pathogenic (score 0.9961) — an in-silico prediction, not a clinical call.

SAMHD1 p.Arg145Pro

c.434G>C · rs515726145 · VCV872202

Likely pathogenic Multiple submitters

Classification

Likely pathogenic

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely pathogenic

0.9961 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.000254%, nfe)

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.9961	likely pathogenic ✓ concordant with ClinVar · top 1% in SAMHD1
REVEL	0.958	strongly pathogenic-leaning
SaProt	LLR -15.75	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.5	GERP 0.91, phastCons 1
Regional constraint	o/e 0.85	unconstrained · MANE · 59 kb · p 1.9e-05 · regional, not allelic
Overall
CADD	28.2	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.000254% European (non-Finnish) · 3/1,179,904 alleles

Filtering AF 6.8e-05% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.9e-05%

Overall 0.000186% 3/1,613,948 alleles · very rare exomes 3/1,461,748 · genomes 0/152,200 · joint denominator

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene: SAMHD1
Protein: p.Arg145Pro
Coding: c.434G>C
MANE Select: NM_015474
dbSNP: rs515726145
Type: single nucleotide variant
Location: chr20:36935104 (GRCh38)
Gene constraint: LOEUF 0.889 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 88.45 · 76 PDB
Residue 145: a UniProt-annotated variant site (in ags5; loss of oligomerization; decreased ability to restrict line-1 retrotransposon activity); a binding site; an α-helix

Full SAMHD1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

SAMHD1 p.Arg145Ter Pathogenic ★★ same residue
SAMHD1 p.Arg145Gln Conflicting classifications of pathogenicity ★ ⚠ same residue
SAMHD1 p.Arg106Leu Uncertain significance ★★ ⚠ same condition
SAMHD1 p.Arg56His Uncertain significance ★★ ⚠ same condition
SAMHD1 p.Cys554Tyr Uncertain significance ★★ same condition
SAMHD1 p.Glu242Asp Uncertain significance ★★ ⚠ same condition
SAMHD1 p.Glu277Asp Uncertain significance ★★ ⚠ same condition
SAMHD1 p.Gly35Val Uncertain significance ★★ ⚠ same condition

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/samhd1-p-arg145pro (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown